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Organization
TAS KIDS INC
Active
Organization
TAS KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA FUNK (ADMINISTRATOR)
(949) 422-3609
Entity
Organization
Contact information
Practice address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(682) 557-9058
(877) 599-9693
Mailing address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(682) 557-9058
(877) 599-9693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/18/2021
Last updated
01/19/2023
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